Active NPI
Sasha Sarin
- Dentist
- Chicago, IL
National Provider Identifier
1760261085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.034639
- Practice address
- 2101 E 71St St
Chicago, IL 60649-2143 - Phone
- (773) 241-7000
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12014257A | IN | |
| Dentist | 122300000X | 019.034639 | IL | Primary |
Addresses
Primary practice location
2101 E 71St St
Chicago, IL 60649-2143
Mailing address
5123 Forest Ridge Dr
MC Donald, PA 15057-3523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.034639 | IL | MD | Dentist |
| 12014257A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Dental in 1 PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Hammond, IN
- NPI 1316774698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1760261085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5123 FOREST RIDGE DR",
"city": "MC DONALD",
"state": "PA",
"postal_code": "150573523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E 71ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606492143",
"telephone_number": "773-241-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARIN",
"first_name": "SASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12014257A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.034639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.